Individual provider Active NPI

Allison Leigh Rasnic, FNP-C

  • Family Nurse Practitioner
  • Jackson, TN
National Provider Identifier
1376295097
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
31090 Issued in TN
Practice address
1270 Union University Dr Ste a
Jackson, TN 38305-3856
Phone
(731) 664-0103
NPI assigned
Jan 24, 2022
Last updated
Jan 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 31090 TN Primary

Addresses

Primary practice location

1270 Union University Dr Ste a
Jackson, TN 38305-3856

Mailing address

22 Fair Acres CV
Jackson, TN 38305-3401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220314001183 TN Practitioner - Nurse Practitioner 9133514920 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

720 W Forest Ave
Jackson, TN 38301-3904
Phone (731) 541-5087

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.74 of 100Reported as apm
Quality
85.23
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
77.21 of 100Reported as group
Quality
64.19
Improvement activities
40
Cost
79.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
WT Medical Associates Family CurrentSince Mar 1, 2022 Accepting new patients
WT Medical Associates CurrentSince Mar 1, 2022 Accepting new patients
Jackson Madison County General Hospital CurrentSince Aug 1, 2024 Accepting new patients
Jackson Madison County General Hospital CurrentSince Aug 1, 2024 Accepting new patients
West Tennessee Medical Group Inc Past Accepting new patients

Locations

650 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 541-6834

24 Physicians Dr
Cookeville, TN 38505

420 Wilkinson Dr
Fl 2
Dyersburg, TN 38024
Phone (731) 285-5133

720 W Forest Ave
Jackson, TN 38301
Phone (731) 541-5087

1270 Union University Dr
Ste A
Jackson, TN 38305
Phone (731) 664-0103

257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283

367 Hospital Blvd
Jackson, TN 38305
Phone (731) 661-2000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1376295097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 FAIR ACRES CV",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 UNION UNIVERSITY DR STE A",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053856",
            "telephone_number": "731-664-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASNIC",
        "first_name": "ALLISON",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "31090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.